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Training and supervision of electroconvulsive treatment in a psychiatric training rotation

Published online by Cambridge University Press:  02 January 2018

N. Ramsay  and
M. A. McPhillips
N. Ramsay
Affiliation:
St Mary Abbots Hospital, Marloes Road London W8 5LQ
M. A. McPhillips
Affiliation:
St Mary Abbots Hospital, Marloes Road London W8 5LQ
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In 1992, Pippard reported a comprehensive audit of electroconvulsive treatment, (ECT), in two NHS regions. He found deficiencies in most aspects of ECT administration (Pippard, 1992), particularly the training and supervision of the administering doctor, usually an SHO or registrar. Regrettably, the competence of a trainee to administer ECT appeared to have improved but little in the 11 years since the same author first reported on the subject (Pippard & Ellam, 1981). In particular, it failed to meet the guidelines issued by the Royal College of Psychiatrists in 1989. This was reflected in inadequate administration of ECT as assessed by direct observation and by determining the provision made for teaching and supervision of ECT by senior staff. Pippard concluded that the overall standard of training was inadequate and that “The responsibility for this mediocrity rests squarely on the consultants as a whole and not just on those whose nomination to be in charge appears to absolve the rest…”.

Type
Audit
Information
Psychiatric Bulletin , Volume 17 , Issue 12 , December 1993 , pp. 716 - 718
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists 1993

References

Benbow, S. M. (1986) Effect of training on administration of electroconvulsive therapy by junior doctors. Convulsive Therapy, 2, 19–24.Google Scholar
Pippard, J. (1992) Audit of electroconvulsive treatment in two NHS regions. British Journal of Psychiatry, 160, 621–637.Google Scholar
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Royal College of Pyschiatrists (1989) The Practical Administration of Electroconvulsive Therapy. London: Gaskell.Google Scholar
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